JUAN ANGEL GRACIANO

SAN DIEGO, CA
NPI1477998136
Professional NameJUAN ANGEL GRACIANO
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM2800X Clinic/Center, Methadone Clinic
(Licence: CA  269870)
Enumeration Date2013-05-07
Last Update Date2013-05-07
Business Address
-- JUAN ANGEL GRACIANO LVN
3940 HOME AVE
SAN DIEGO, CA 92105-5952
Phone number: 619-262-8000
Mailing Address
-- JUAN ANGEL GRACIANO LVN
848 COLORADO AVE APT A
CHULA VISTA, CA 91911-8143
Phone number: 619-934-1774
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